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Employment Application Form

We are always seeking talented, motivated and most importantly friendly individuals who will take pride in caring for our customer's needs.

We feel that if our employees are happy then they'll be friendly to our customers. This way we can provied the best shopping experience for our customers. With each new store we have had the pleasure of more employees and putting more neighbors to work.

Did you suffer any injury in the past that may prevent you from performing any of the duties for the job to which you are applying? *

No

Yes

Select the option that applies to you.

Have you been convicted or a crime in the last seven (7) years? *

No

Yes

A conviction will not necessarily disqualify you for employment.

List convictions that are a matter of public record (arrests are not convictions). *

Location applying for: *

Date Available:

Year

Month

Day

Hours Available

Availability

Start Time

End Time

Sunday

Anytime

Select Hours

Monday

Anytime

Select Hours

Tuesday

Anytime

Select Hours

Wednesday

Anytime

Select Hours

Thursday

Anytime

Select Hours

Friday

Anytime

Select Hours

Saturday

Anytime

Select Hours

Position Applying For:

Please select 'Open' If your desired position is not listed.

Do you have any retail expirence? *

Yes

No

If yes, What?

Have you ever worked for this company? *

Yes

No

If yes, when?

How did you find about Elgin Fresh Market?

Why would you like to work for Elgin Fresh Market? *

Previous Employment 1

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $/hr

Ending Salary: $/hr

Responsibilities:

From:

Year

Month

Day

To:

Year

Month

Day

Reason for leaving:

Previous Employment 2

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $/hr

Ending Salary: $/hr

Responsibilities:

From:

Year

Month

Day

To:

Year

Month

Day

Reason for leaving:

Previous Employment 3

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $/hr

Ending Salary: $/hr

Responsibilities:

From:

Year

Month

Day

To:

Year

Month

Day

Reason for leaving:

Education

High School

Name:

Address:

From:

Year

Month

Day

To:

Year

Month

Day

Did you graduate?

Yes

No

College

Name:

Address:

From:

Year

Month

Day

To:

Year

Month

Day

Did you graduate?

Yes

No

Degree:

Other

Name:

Address:

From:

Year

Month

Day

To:

Year

Month

Day

Did you graduate?

Yes

No

Degree:

References

Reference 1

Full Name:

Relationship:

Company:

Phone:

Address:

Reference 2

Full Name:

Relationship:

Company:

Phone:

Address:

Resume

Max. 2 Mb. only .pdf .doc .docx .rtf allowed.

Disclaimer *

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.